Individual
TIFFANY STAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 WYOMING ST, DAYTON, OH 45409-2731
(937) 223-4661
Mailing address
3772 GRANT AVE APT B, BEAVERCREEK, OH 45431-2150
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
427073
OH
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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